What Does it Take to Provide Top Surgical Care in BC?
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What Does it Take to Provide Top Surgical Care in BC?

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This presentation was delivered by Doug Cochrane, chair of the BC Patient Safety & Quality Council, at the BC Surgical Quality Action Network's 2013 annual meeting. ...

This presentation was delivered by Doug Cochrane, chair of the BC Patient Safety & Quality Council, at the BC Surgical Quality Action Network's 2013 annual meeting.

Visit http://bcpsqc.ca/clinical-improvement/sqan/ to learn more about the event

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What Does it Take to Provide Top Surgical Care in BC? What Does it Take to Provide Top Surgical Care in BC? Presentation Transcript

  • What Does It Take To Provide The Best Surgical Care In BC
  • What do we need today ?
  • What do we need today ? • • • • • • Surgical skill and judgment Skilled anesthesia Tools and equipment Access to the OR Care for recovery Suitable patients
  • While these qualities are necessary, they are not sufficient. The next step for BC is developing reliable and resilient teams
  • What is a “Team”? Team members have specific roles, perform specific tasks, and interact or coordinate to achieve a common goal or outcome Teams make decisions Teams possess specialized knowledge and skills and often function under conditions of high workload Teams embody a collective action arising out of task interdependency Teams make fewer mistakes than do individuals, and this is especially true when every member of a team is as aware of their teammates’ responsibilities as they are their own.
  • The Nature of Reliable Teamwork (Wilson et al 2005) Requires a willingness to cooperate in the service of a shared goal Effective communications Shared acknowledgement of each participating member’s roles and abilities. – teamwork-related knowledge – teamwork-related skills – teamwork-related attitudes.
  • Team Learning Pisano, Bohmer, Edmondson Management Science 47:752-768 2001 [Surgical] team learning processes allow some organizations to benefit more that others from equivalent levels of expertise
  • Behavioral Markers of Surgical Excellence Teams (Carthey et al, 2003) Experience Technical Skill Redundancy Anticipation Team Leadership Coordination Communication
  • Dealing with Unexpected Events (Weick and Sutcliffe) Better able to notice the unexpected in the making and halt its progression If cannot halt – then contain If not contain, then focus on swift restoration based on resilience Act mindfully